Pimple Turning into a Mole, What Should I do?

hello. Iam Reshma. i am 26 year old.. married.. have dry skinof late m getting pimples .. initially they are pink in color andthen a black hard stick like thing comes out.. then the pimple vanishes.. and leaves a black spot on skin.. just like pimple... m getting more pimples .. and they are al leaving black spot like mole. how do i get rid of those spots.. the spots are from 3 months.. and m getting similar new pimples.. please help

Doctor Answers 6

Treatments are available for acne, acne scars, and dark marks

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The scenario you are describing sounds a lot like a post inflammatory reaction to acne which can leave dark marks or scars. It is best to make a consultation with a dermatologist to see which acne medication will work best for you. There are many acne medications that can treat the actual acne as well as the dark marks it is leaving in combination.

Acne scars that are dark and brown

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Post inflammatory hyperpigmentation is one of many of the differential diagnosis. If PIH is forming, then Melarase creams may work to improve the discoloration.

Raffy Karamanoukian MD FACS

Los Angeles

Re:Acne Pimple Turning Into A Mole

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Moles are actually formed when melanin producing skin cells called melanocytes  cluster together instead of being evenly distributed throughout the skin. 

This is unlikely to be the case with you because these symptoms are starting off as acne which then become black in color. Acne pimples are obviously not the same as melanocyte  clusters.

So hyperpigmentation is more likely to be the case. Sometimes the skin produces melanin as a way to heal/protect itself.  If there is inflammation occurring, then this does make sense, as this can be perceived by the skin as a type of injury. 

Laser could be an ideal solution. The Spectra laser, for example, helps control acne, not only by clearing blocked pores, but also by decreasing the activity level of the sebaceous glands. Fraxel Dual uses specialized wavelengths which can break up the pigment so that it can be eliminated from the body. 

Be sure to discuss your concerns with your dermatologist and follow his/her advice.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
4.6 out of 5 stars 33 reviews

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PIH from acne

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Sometimes more cystic acne can result in discoloration after the acne spot diminishes. This is called post-inflammatory hyperpigmentation, and the discoloration can be red or brown. They are not pimples turning into moles. I'd suggest you visit a dermatologist for either topical or oral medications to control your active acne, and then possibly some hydroquinone to combat the PIH you currently have.

Pimple Resolves and Leaves Discoloration, Treatment Options

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You should see your dermatologist to determine what is the cause of this "mole." More likely the pigmentation is a result of your body producing pigment in response to the inflammation associated with the pimple. Your dermatologist can tell you exactly what's going on and give you a topical treatment to control the pimples and fade out the pigmentation.

Pimples and Moles vs Hyper-Pigmentation

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It sounds as if your pimples are resolving with post-inflammatory hyper-pigmentation.  They are not turning into moles.   If your skin has more olive tones, this is sometimes a side effect that occurs after an inflamed pimple.  My recommendation for you is to see your dermatologist and try to get your acne breakouts under control.  Then you can try a bleaching cream to help lessen the brown spots.

Sheri G. Feldman, MD
Beverly Hills Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.